SYSTEM AND METHOD FOR THE MONITORING OF THE METABOLIC ENERGY SYSTEMS AND THE STATUS OF THE AUTONOMIC NERVOUS SYSTEM
20200077949 · 2020-03-12
Inventors
Cpc classification
A61B5/02055
HUMAN NECESSITIES
A61B5/222
HUMAN NECESSITIES
A61B5/01
HUMAN NECESSITIES
International classification
A61B5/00
HUMAN NECESSITIES
A61B5/0205
HUMAN NECESSITIES
Abstract
The subject of the invention is a sports physiological measuring system and method for the monitoring of the aerobic and anaerobic metabolic energy generating system and the autonomic nervous system, primarily during physical exercise.
Claims
1. Method for indicating the status of the aerobic and anaerobic energy-producing systems and/or the status of autonomic nervous system of a human or animal subject during sporting, comprising: repeatedly measuring the skin surface temperature of the subject; determining a temperature gradient of the skin temperature along time, based on the temperature data measured; determining the momentary intensity of the aerobic energy-producing system, the momentary ratio of the operation of the aerobic/anaerobic energy-producing systems and/or the momentary ratio of the sympathetic/parasympathetic power of autonomic nervous system, based on the temperature gradient determined; determining the status of the aerobic and anaerobic energy-producing systems and/or the status of the autonomic nervous system of the subject, based on the momentary intensity of the aerobic energy-producing system, the momentary ratio of the operation of the aerobic/anaerobic energy-producing systems and/or the momentary ratio of the sympathetic/parasympathetic power of autonomic nervous system determined; generating a signal indicative of the status of the aerobic and anaerobic energy-producing systems and/or the status of autonomic nervous system of the subject; and outputting the signal relating to the subject in a sensible form.
2. The method according to claim 1, wherein the temperature is measured on the body surface above a primary muscle characteristic of the sport.
3. The method according to claim 2, further comprising: repeatedly measuring the temperature on the body surface above a secondary muscle characteristic of the sport; determining a further temperature gradient of the further skin temperature along time for determining the momentary intensity of the aerobic energy-producing system, the momentary ratio of the operation of the aerobic/anaerobic energy-producing systems and/or the momentary ratio of the sympathetic/parasympathetic power of autonomic nervous system of the subject.
4. The method according to claim 1, further comprising: repeatedly measuring the ambient temperature, and the status of the aerobic and anaerobic energy-producing systems and/or the status of autonomic nervous system of the subject is further determined based on at least one ambient temperature measured.
5. The method according to claim 1, wherein the sensitivity of the temperature measurement is better than 0.1 C.
6. The method according to claim 1, wherein the output signal is output in the form of an audio signal and/or a visual signal and/or a vibration (haptic) signal.
7. The method according to claim 1, further comprising the measurement of performance intensity data characteristic to the activity, such as force, acceleration, power and speed.
8. The method according to claim 1, further comprising the measurement of other functional data of the body of the subject, such as the pulse rate.
9. The method according to claim 1, further comprising the transfer of processed data to a computer for processing, assessment and/or further analysis, optionally by a telemetric means.
10. The method according to claim 1, wherein a) the sporting activity is running and monitoring involves the measurement of skin temperature, speed of forward motion and optionally the pulse rate of the runner; b) the sporting activity is paddling and monitoring involves the measurement of skin temperature, power output by the paddle and optionally the pulse rate of the runner; c) the sporting activity is cycling and monitoring involves the measurement of skin temperature, power output and optionally the pulse rate of the runner; d) the sporting activity is swimming and monitoring involves the measurement of skin temperature, speed of forward motion and optionally the pulse rate of the runner; e) the sporting activity is team sport and monitoring involves the measurement of skin temperature, the sum of average acceleration in unit time in the X, Y and Z directions and optionally the pulse rate of the runner.
11. The method according to claim 1, wherein the subject is human.
12. The method according to claim 1, wherein the subject is an animal.
13. The method according to claim 12, wherein the animal is a racing horse.
14. Device for indicating the status of the aerobic and anaerobic energy-producing systems and/or the status of autonomic nervous system of a human or animal subject during sporting, comprising: means for repeatedly measuring the skin surface temperature of the subject; and means for determining a temperature gradient of the skin temperature along time, based on the temperature data measured; means for determining the momentary intensity of the aerobic energy-producing system, the momentary ratio of the operation of the aerobic/anaerobic energy-producing systems and/or the momentary ratio of the sympathetic/parasympathetic power of autonomic nervous system, based on the temperature gradient determined; means for determining the status of the aerobic and anaerobic energy-producing systems and/or the status of autonomic nervous system of the subject, based on the momentary intensity of the aerobic energy-producing system, the momentary ratio of the operation of the aerobic/anaerobic energy-producing systems and/or the momentary ratio of the sympathetic/parasympathetic power of autonomic nervous system; means for generating a signal indicative of the status of the aerobic and anaerobic energy-producing systems and/or the status of autonomic nervous system of the subject; and means for outputting the signal relating to the subject in a sensible form.
Description
DETAILED DESCRIPTION OF THE INVENTION
[0039] We developed a sport physiological measuring system and method that is capable of the online monitoring of the ratio of the aerobic and anaerobic energy production system and the ratio of operation of the sympathetic and parasympathetic nervous system. The efficacy of training can continuously be controlled during training and if necessary by changing the original protocol (intensity, resting time, repetition characteristics) the training effect can be improved. The developed method may be applied in any of the sport disciplines where the ratio of the aerobic and anaerobic energy production systems is a significant parameter of sport performance.
[0040] The essence of the invention is the measurement of skin temperature on the skin surface preferably above the great primary or secondary muscles by special temperature sensor(s) depending on the sport disciplines whereby from the changes of what the momentary ratio of the aerobic and anaerobic energy production systems are well traceable and one can deduct the operating ratio and nature of the sympathetic and parasympathetic nervous systems.
[0041] For continuous loads under the AT (LT) intensities, the warm-up process starts within a few minutes both for less trained athlete or not trained people (with weak aerobic system) or for well trained athlete (with strong aerobic system), i.e. the aerobic energy production becomes dominant and this causes a temperature increase that is measurable on the skin surface. After warm-up, due to gradually increasing load, an increasing skin temperature can be measured for untrained and well-trained athlete alike, up to the intensity relating to the AT (LT) level. However, above the AT (LT) level the skin temperature of the weakly trained athlete starts to decrease, while that of the well-trained athlete increases further on. The better trained the athlete is (the stronger the aerobic system is), the higher the intensity where the skin temperature starts to decrease is.
[0042] Based on the analysis of the measured training sessions, it can be established that in the case of a well-trained athlete (having a strong aerobic system), the change of skin temperature above AT (LT) level shows the same increase and decrease profiles in low anaerobic (anaerobic extensive) range as in the aerobic range. This means that with increasing intensity the skin temperature increases and with decreasing intensity the skin temperature decreases. This changes when in the anaerobic range the intensity is so high (anaerobic intensive) that the anaerobic system suppresses the aerobic one, the efficiency of the aerobic system decreases and parallel to this the skin temperature decreases. This phenomenon was checked with lactate measurements and was established that above the AT (LT) levels after the intensity changes the change of skin temperature, i.e. the gradient characterises the momentary ratio of aerobic/anaerobic energy production systems. After increasing the intensity, for a positive gradient the aerobic system is dominating, and for a negative gradient the anaerobic system is dominating and when the gradient is zero the aerobic/anaerobic energy production systems are in balance, this being the maximum intensity when the athlete is able to work stably and continuously. The change of the gradient of the skin temperature indicates the change of the ratio of the aerobic/anaerobic energy production systems. The dynamics of the increase and decrease of temperature shows the disproportion of aerobic and anaerobic systems of the athlete. Temperature increase is steeper when the aerobic/anaerobic energy production ratio is shifted to the aerobic direction. Temperature increase decreases when the anaerobic energy production is more intense, as well as, the skin temperature decreases when the anaerobic energy production dominates and the temperature decrease is even steeper with more anaerobic energy production.
[0043] In case of sympathetic overtraining or the dominance of the sympathetic nervous system, even at intensities lower than the AT (LT) intensity level the skin temperature shows anaerobic type reflex, i.e. the increase of intensity is responded by a temperature decrease indicating that even the warm-up intensity level means a problem and the athlete cannot warm up properly. The athlete can work at high intensity for a short time but is incapable of performing endurance tasks.
[0044] In case of parasympathetic overtraining or the dominance of the parasympathetic nervous system, anaerobic reflex does not show up at all or only shows up for a very short time in the vicinity of maximum intensity. When the skin temperature decreases after increasing the intensity and the pulse rate increases, then it lasts for a short time (20 to 40 seconds) and due to a strong parasympathetic reflex the skin temperature rises again, the pulse decreases and the intensity drops down.
[0045] The measuring system shown in
[0046]
[0047]
[0048]
[0049]
[0050] In
[0051]
[0052] The measuring system shown in
[0053] During the practice of the various types of trainings it is well observable that as long as the aerobic system is dominating a higher temperature is relevant to the exercises of higher speeds and lower temperatures are relevant to lower speeds, i.e. the skin temperature increases or decreases with the increase or decrease of the running performance. However, in case of anaerobic dominance, a decreasing temperature relates to increasing speed, as well as, above a certain speed the temperature continuously decreases and does not reach equilibrium.
[0054] In
[0055] In
[0056]
[0057]
[0058] The training task shown in
[0059]
[0060] For the sympathetic/parasympathetic ratio in equilibrium the skin temperature of the athlete behaves according to Ts1. The athlete responds to the intensity changes quickly, within 1-1.5 min. The skin temperature increases below the AT level and decreases above AT speeds.
[0061] For parasympathetic overtraining or significant parasympathetic nervous system dominance at speed above AT the skin temperature increases according to the aerobic overloaded reflex (dTs2(1)), when the speed decreases the skin temperature decreases rapidly (dTs2(2)), which also represents an aerobic overloaded reflex status. The increase of parasympathetic overload is indicated by the fact that the athlete only at increasingly higher (above AT) speeds and for shorter periods of time is able to respond with the anaerobic reflex, hence with the decrease of skin temperature.
[0062] Ts3 skin temperature curve indicates sympathetic over training or significant sympathetic nervous system dominance After warm-up, when the athlete reaches above the AT level speed, his/her skin temperature quickly and almost immediately responds with anaerobic overloaded reflexes, i.e. with the strong decrease of skin temperature (dTs3(1)). When lowering the speed, as a response of the suddenly disappearing anaerobic overload, short, strong increase of skin temperature is experienced (dTs3(2)), that lasts for 1-1.5 min. It is typical of the sympathetic overloaded status that for relatively small, below AT speeds the athlete responds very slowly with aerobic reflex. Instead of the normal 1-1.5 min (tTs1), 4-5 min (tT3s) may elapse until the increase of the skin temperature (dTs3(3)) indicates the aerobic reflex. Due to the quick anaerobic and the slow aerobic reflexes in sympathetically overloaded status and after warm-up, the efficacy of the appropriately operating aerobic system gradually decreases, which has a destroying effect on the aerobic power and may lead to the loss of competitiveness and trainability.
[0063] During exercise, the ratio and efficiency of the two metabolic energy-producing systems change continuously. The value of the relatively well measurable AT (LT) greatly depends on the momentary status of the athlete and the environmental threshold conditions and may change within a training period. As the value of AT changes, so does the operating intensity of the aerobic and anaerobic system change when the external conditions influencing the motion change Such conditions are for cycling and running: upwind, downwind, slope, or for kayaking, rowing: upwind, downwind, waves, as well as, for any sports: ambient temperature and Sun radiation. When within a training event the external conditions (ambient temperature, up- or downwind, dressing, undressing) influencing the skin temperature of the athlete do not or hardly change then the absolute temperature well indicates the operating intensity of the aerobic system and the temperature gradient indicates the ratio of the aerobic/anaerobic energy-producing systems. The examples given by
[0064] It is important to deduce the real changes of temperature from the data obtained from thermometers smoothed to the skin surface, excluding the external effects influencing the sensor. The sensor shown in
[0065] With the double-thermometer system one can measure the direction of heat-flow because the heat-flow always tends to reach equilibrium, i.e. the higher temperature medium heat up the lower temperature one or in other words, the lower temperature one cools the warmer one. Using the double thermometer system it can accurately be measured if the skin warm up or cools the garment smoothed to the skin surface or vice versa.
[0066] In
[0067] The Table of
[0068] In column 1, the skin temperature (Ts) and the external temperature (To) are both increasing. Since Ts-o (=TsTo) also increases this means that the skin temperature increases more than the external one, i.e. skin temperature is dominant warming the air under the garment and the garment. This phenomenon indicates the increase of aerobic power.
[0069] In column 2, despite the decrease of the external temperature the skin temperature rises, i.e. the skin shows strong warm-up so that even the environment cannot cool it down. The phenomenon indicates strong aerobic overload.
[0070] In column 3, the skin temperature and the external temperature under the garment increase but the dTs-o gradient is negative, i.e. the external temperature increases more than the skin temperature. This means that due to the external thermal effect the skin is warming, e.g. in case of strong sunlight.
[0071] In column 4, the visible variant does not exist. When the skin temperature increases and the external one is decreasing then Ts-o (=TsTo) should not decrease.
[0072] In column 5, the skin temperature decreases and the external temperature decreases. Since Ts-o also decreases this means that the temperature of the skin decreases more than the external one, thus the skin is the dominant one that cools down the air under the garment and the garment. This phenomenon indicates an anaerobic overloaded reflex.
[0073] In column 6, despite the increasing external temperature the skin temperature still decreases, i.e. skin shows such a strong cooling that even the environment cannot warm it up. This phenomenon indicates a strong sympathetic reflex and strong anaerobic power overload.
[0074] In column 7, the skin temperature and the external one under the garment, both decrease but the dTs-o gradient is positive, i.e. the external temperature decreases more than the skin temperature. This means that due to the external effects the skin cools, e.g. due to rain or cool wind.
[0075] The variant in column 8 does not exist when the skin temperature decreases and the external one increases, then Ts-o (=TsTo) cannot increase.
[0076] Besides the characteristic states shown in
[0077] The skin temperature change indicating the operation of the metabolic energy-producing system varied depending on the individual, the sport discipline and the muscle activity and is of differing character and degree at different points of the body surface. Prior to the regular use of the sensor the optimal measuring point or points should be selected on the skin surface. It is preferable to examine the test measurements in parallel with sensor on the primary or secondary muscle at several points. For ergometric testing of cycling, the sensors placed onto the calf of leg, thigh muscle and gluteus show temperature changes varying in time and dynamics After starting the exercise the redistribution of the cardiovascular system starts more efficiently at the primary muscle groups more intensively used, there, the aerobic energy production starts faster, the warming up occurs earlier, due to the measurable temperature rising the skin reflex starts earlier and shows a steeper gradient. When gradually increasing the intensity, in case of the weaker or more used secondary muscle groups the energy production first changes to anaerobic, which in case of anaerobic overload, with respect to other muscle groups results in a decreasing skin temperature reflex that is measurable earlier.
[0078] The optimal sensor position should be selected according to the skill improving strategy. If one wants to check the warming up process, then the strongest (slowest) point should be selected on the primary muscle. For the check of the anaerobic overload, the fastest (the weakest) point should be monitored on the secondary muscle. We may get a more accurate picture of the momentary status of energy production in the various muscle groups when using several sensors in parallel regularly. For kayaking that uses almost the complete muscle tone, it is indifferent whether the leg muscle, arm muscle or the back muscle starts stiffening (high degree of anaerobic overload, spasmic pain), the efficiency of kayaking falls suddenly. The multi sensor measurement is capable of mapping the athlete to find what muscle group is the weakest to achieve the target, i.e. which one should be developed the most intensively. During the improvement of skills one should be careful to compare identical position measurements based on the skin temperature reflex.
[0079] The measurement of skin temperature indicating the operation of the metabolic energy-producing system should be examined at a selected point, using a sensor located on the surface of the skin as the function of the power output of the athlete. In sport disciplines where the activity ratio of the various muscle groups is different within a training program (e.g. triathlon, swimming, athletics) it is preferable to use several sensors.
[0080] In sports, instead of power output that is difficult to measure, power type parameters may be measured that well characterise the intensity of motion, the intensity of sporting activities. It is important to perform reproducible measurements and to measure the parameter ever more accurately, and it should be characteristic of the sport. Usually, the AT value is correlated to various parameters depending the sport disciplines, e.g. the (horizontal) speed for swimming and running, average thrust of the paddle for kayaking and rowing, power output for cycling expressed in W.
[0081] For the sports where the weather conditions may influence the operation of the metabolic energy-producing system the double-sensor system may improve the accuracy of the measurement and the influence of external effects becomes measurable.
[0082] Depending on the sports an aerobic/anaerobic operation ratios correlate to the various intensities, which can be changed with training. The optimal aerobic/anaerobic ratio must be selected according to the racing distance/duration of the athlete. If a certain racing distance is covered primarily in aerobic metabolism then the athlete will easily endure the race but might be slow. On the contrary, when the anaerobic load is overwhelming for a certain racing distance then the athlete will be faster, however, may not last till the end of the distance. Therefore, during the trainings the aerobic/anaerobic ratio shall be adjusted so as to facilitate the endurance of the whole distance at the highest possible speed. For a well trained athlete concentrating on a certain racing distance will be the best because a certain aerobic/anaerobic ratio is optimal for only one racing distance.
[0083] Conconi test is a basic sports physiological test. First, it was developed to test runners at a 400-meter path, gradually increasing the speed while measuring the pulse rate. Thus, the output power (the motional intensity) of the athlete is characterised by speed.
[0084] When the typical performance type parameter characteristic to the particular sport is not or only hardly measurable, it can be substituted by the pulse rate of the athlete to a limited extent. In practice, within a training period, the pulse rate of the athlete changes linearly to the power output, i.e. the pulse rate and skin temperature data can well be used to control the load characteristics (optimal warm-up pulse rate, pulse rate related to the maximum aerobic power, pulse rate limit corresponding to anaerobic overload). Since the pulse rate response of the athlete to a particular performance depends on training and fatigue (18.b, 18.c) the pulse rate based data of analysis may significantly differ from the data of accurate performance based analysis within a week.
[0085] When during training, the procedure of skin temperature measurement is applied with an accuracy better than 0.1 C. and the athlete receives information about the value and momentary gradient of the skin temperature of the active muscles, there is the capability to control the aerobic and anaerobic energy production with the help of only the temperature parameters, i.e. by increasing or decreasing the intensity one can activate the demanded energy-producing process and can regulate the degree of energy production. By this, depending on the training task the athlete is capable of accurately developing the aerobic or anaerobic capacities to be improved. During development, we regularly tested the operating mode of the arrangement shown in
[0086] For competitive athletes, it is very important to determine and develop the ratio of aerobic and anaerobic capacities corresponding to the racing distance. Since the development of aerobic and anaerobic capacities have effects on each other, the accurate training effects are achievable by monitoring the ratio of the activities of the two energy-producing systems. The control is more precise the closer is the feedback, i.e. the athlete or the coach immediately notices the unbeneficial disproportion and alters the course of training (intensity, rest, repetition number, etc.). Thus, it is important that the athlete and the coach has the possibility to continuously monitor the parameters that provide information on energy production. From the content of information point of view the sporting intensity and/or pulse rate response, the skin temperature above the primary or secondary muscle or the data deduced thereof, the momentary gradient of the skin temperature or the data deduced thereof and the conditions influencing the skin temperature (radiant heat, external cooling, under-dressing, overdressing) are of importance. It is useful for the athlete and the coach to query the 6 possible statuses shown in the lower line of
[0087] There are various possibilities to communicate the important information depending on the sport, e.g. for running and kayaking, it is optimal to communicate verbally via an earphone, for cycling and LCD display fixed to the handle-bar, for swimming a vibrating motor will do, and for the coach, a tablet (computer) is the correct device. Storage, further processing and statistical analysis of the measured data help the strategic punctuation of preparation.
[0088] Accordingly, during training and races, the communication of information to the athlete may occur via any audio-visual display, black-and-white, colour, graphic or alpha-numerical display or LED display, as well as, using vibration or sound information that can be verbal or a special sound effect. The important thing is that the athlete should see or imagine the usual curves of intensity (running speed, cycling performance, paddling thrust), the actual aerobic power (absolute skin temperature or data calculated thereof) and the aerobic/anaerobic ratio (momentary gradient of skin temperature or data calculated thereof), (see:
[0089] As an example,
[0090] Warm-up: light run with a speed of 12 to 14 km/h until the temperature reaches 6.20.
[0091] Pace change: 15 min continuous running, the speed of the runner should be increased so that the gradient be less than 4 then light running until the gradient becomes positive and the skin temperature be above 6.20.
[0092] Cooling down: light running at 12 km/h for 10 min.
[0093] Even in the anaerobic range the training strengthened the runner so that his/her aerobic capacity was not shortened. The runner was fully aware of what intensity zone and with what aerobic/anaerobic ratio he/she was working. All way long the training fell into the aerobic overload except when he/she was running at high intensity with negative gradient. The resting time depended on the time needed for regeneration, i.e. his/her aerobic system could work at the prescribed intensity. During the training, the runner could control the duration of the optimal resting time depending on the feedback from the skin temperature data for the purpose of skill improvement that could not have been achieved without this invention.
[0094] As an example of a power endurance sport,
[0095] Warm-up: paddling with a thrust around 6 to 7 kp until the skin temperature exceeds 6.00.
[0096] Lead switching for 45 min: two kayakers paddle side-by-side leading one after the other. The kayaker in front dictates the pace the other one sits in the downstream which means that by lagging a little (2 to 3 meters) looks for a position where the water is continuously sloping, i.e. the nose of the kayak is always a little bit lower than the back. Thus the kayaker sitting in the side water paddles as if on a slope and therefore, can effort much less power than the leading one, can relax, regenerate and rest for the next lead. Kayakers a and b lead switching every 3 min during the 45-minute duration task. The intensity of the leading kayaker should be around 10 kp thrust.
[0097] Cooling down: light paddling at 6 kp for 10 min.
[0098]
[0099] Without monitoring the skin temperature, i.e. the continuous control of the aerobic/anaerobic ratios it would not have turned out even after the 2.sup.nd exchange that there would be a problem with kayaker a and instead of an aerobic power improving training there could have been an anaerobic overloading training.
[0100] As an example,
[0101] The coach wanted to analyse the outcome of the aerobic capacity and the pulse relax from the fatigue feeling aspects. In
[0102] It can unambiguously be seen that the player is not suitable to play matches, should perform improving trainings in order to be able to play even one quarter accurately.
[0103] By using the invention and analysing the trainings and matches one can forecast the playing power of the players, the skill improving trainings can be commenced in time, one does not have to wait for the formal decline to be indicated by ever more inaccurate play.
[0104]